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MONTHLY DUES
Javier F.
GAME COUNTS
Jul/Aug/Sep/Oct
Games
Worked
- ㉞ -
Payable Forfeits
- ⓵ -
Amt Due To:
Assignor
$㉘ Balance
FORFEIT LOG
8/13 • PA2
PAYMENT OPTIONS
Zelle
Andre Thomas
714-588-8781
Venmo
Andre Thomas
@Ace-Thomas65
ASSIGNOR'S NOTES
⥣ᴾdated 11/12/25
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TOTALS
▸ $68 Dues
▸ $40 Forfeit
▸ AMT DUE: $28⁰⁰
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LMK if your records show different.
Pls pay by Nov 16th
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